| NPI | 1780166843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL AA462) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA462) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-04-21 |